Individual
BYRON RICHARD WADLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 W MARSHALL AVE STE 430, LONGVIEW, TX 75604-5073
(903) 297-9400
(903) 297-3810
Mailing address
3400 W MARSHALL AVE STE 430, LONGVIEW, TX 75604-5073
(903) 297-9400
(903) 297-3810
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G0245
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132886607
—
TX
Enumeration date
07/28/2006
Last updated
09/23/2019
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